Slapped Cheek Disease - HPA North West by hjkuiw354


									Advice to other groups

The infection may be more serious for people who have diseases which
impair their immune system and for people who have certain serious blood
                                                                                           HPA North West
disorders such as sickle cell disease.

Parents of children who have inherited anaemia or immune deficiency
should seek advice from their doctors.

                       For more information about
                   Parvovirus B19 Infection contact:
            The Community Infection Control Nurse at your
         local Primary Care Trust (PCT) 01204 907709 907752
                   or your local Health Protection Unit
                             0161 786 6710

                                                                                       Parvovirus B19 Infection
                                                                                       (Slapped Cheek Syndrome)
                                                                                       (Fifth Disease)

Information produced by: Health Protection Agency North West

The Health Protection Agency is a new independent organisation dedicated to
protecting people’s health. It brings together the expertise formerly in a number of
official organisations.

Date:   September 2005                              Review Date: September 2007

                                                                               Infections are most common in the spring or early summer.
                                                                               Do you need to stay off school/nursery/work?
What is parvovirus B19 infection?
                                                                               NOT USUALLY - Usually children will feel quite well. They only need to
Parvovirus B19 infection is a viral infection and symptoms include:            stay off school /nursery if they are ill. This is the same for adults, but adults
                                                                               do tend to be affected with symptoms more commonly, particularly joint
•   Fever                                                                      pains and general aches.
•   Rash - a lace-like red rash usually on the limbs and across the
    shoulders                                                                  •   The incubation period (the period between infection and the
•   Red cheeks - this symptom is most common in children and is the                appearance of signs and symptoms) is between 4-20 days - average
    reason for the infection’s other name “slapped cheek syndrome”                 14 days.
•   Joint aches and pains                                                      •   A person developing the disease is infectious (capable of spreading the
                                                                                   virus to other people) for 7 days before the onset of the rash
Human Parvovirus B19 infection is also called:                                 •   Once the rash has appeared the risk of passing on the infection drops
• Slapped cheek syndrome                                                           dramatically.
• Fifth disease
• Erythema infectiosum
                                                                               How do you prevent spread?
It is not the same disease as parvovirus in pets, and there is no protective
vaccine.                                                                       • This is almost impossible because people are infectious before they
                                                                                 show symptoms of the infection and we do not, as yet, have a vaccine to
How is parvovirus B19 caught?                                                    prevent the infection occurring.
                                                                               • Washing hands with soap and warm water after contact with urine or
•   By being in close personal contact with someone who already has              blood is a sensible precaution.
    the infection.
•   By breathing in the aerosol spray from an infected person via their
    coughing and sneezing.
•   Rarely from direct contact with the blood or urine of someone who          Advice to pregnant women
    already has the infection.
•   It is not caught from animals or inanimate objects like towels or from     After 20 weeks of pregnancy, there is no known risk to the baby.
                                                                               Before 20 weeks, if you have had close contact with a case during the
Who can it affect?                                                             infectious period (before the rash appears) see your doctor. Your doctor
                                                                               may wish to consider testing for immunity or infection, and monitoring the
• Usually children The infection is most common in children between            baby.
  the ages of 5-14 years.
• Some adults Approximately half (50%) of all adults will have been            The virus does not cause malformations in the baby in the way German
  infected at some time in their lives and have gained immunity.               measles (rubella) does.

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